Retrusive Chin Reconstruction After Burn Injuries Using Submental and Labiomental Fat Flaps: An Innovative Method
نویسندگان
چکیده
OBJECTIVE A simple method has been introduced for augmentation and restoration of normal chin protrusion as an important element of facial contour in patients suffering from severe skin retraction and scar resulting from head and neck area burns. PATIENTS AND METHODS For releasing skin retraction and compression of the mental area subcutaneous fat tissues, under general anesthesia, 2 incisions were made in the submental and labiomental areas, each about 3 to 5 cm. After dissection of the superior portions of labiomental and inferior pedicle of submental fat pads, turning over and attaching them together, the skin over the area was reconstructed as needed. RESULTS Thirty-four patients with pseudomicrogenia were involved. In 32 patients, the procedure was performed successfully and the results were evaluated as excellent in 15 cases and good in 17 cases. However, in 2 patients, suboptimal results were obtained, which were corrected using genioplasty in one of them. The other one did not consent for any further surgeries. Split-thickness skin grafting was performed in 3 cases. Tissue expansion and full-thickness skin grafting were used in 3 others for resurfacing the area. CONCLUSION Taken together, the current technique might be helpful in restoring normal chin protrusion and can be used besides available methods for resurfacing and reconstruction of the defective skin for enhancing the facial appearance.
منابع مشابه
Absence of the Labiomental Groove: A Common but Preventable Unpleasant Aesthetic Problem of the Lower Lip-Chin Burn Reconstruction
متن کامل
Absence of the Labiomental Groove: A Common but Preventable Unpleasant Aesthetic Problem of the Lower Lip-Chin Burn Reconstruction
The labiomental groove is the deepest point of contour change at the junction of the lower lip and chin. It defines the sublabiale point. The labiomental groove is located at about one third the distance from stomion to gnathion. It represents the level of vestibule, but, more pertinently, it is the superior attachments of the mentalis muscle. The chin composes about two thirds of this part of ...
متن کاملSubmental Artery Island Flap in Reconstruction of Harde Plate after wide Surgical Resection of Veruccous Carcinoma. Two case reports
Introduction: Reconstruction of intraoral soft tissue defects is important in restoring function and esthetic. In large defects, there will be demand for regional pedicle flaps or free flaps. Hard palate separates nasal and oral cavities. Due to the small surface area between flap and remaining palate after surgical resections, optimal blood supply of the flaps for hard palate reconstructions ...
متن کاملCombined Submental-tongue Flap for Reconstruction of Subtotal Traumatic Avulsion of Lower Lip: A Technical Note
Delayed reconstruction of large lower lip defects after traumatic avulsion is a challenge in medically compromised patients with concomitant cheek skin burn. Combination of orthograde submental transposition flap and anteriorly based ventral rectangular myomucosal tongue flap is useful. The former reconstructs the body of the defect, and the latter masks the red lip, resembling vermilion. In th...
متن کاملUse of Local Perforator Flaps for Post Burn Reconstruction
BACKGROUND Mainstay of post-burn reconstruction is release and split skin grafting. Pedicle flaps are cumbersome to the patient, require multiple procedures and hospitalization. Free flaps are technically demanding and facilities are not universally available. Here we evaluated the local perforator flaps for post-burn reconstruction. METHODS We have used sixteen perforator propellar flaps fo...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 9 شماره
صفحات -
تاریخ انتشار 2009